J Korean Assoc Pediatr Surg.  1996 Jun;2(1):46-52. 10.13029/jkaps.1996.2.1.46.

Primary Segmental Volvulus of the Small Bowel: Report of 2 Cases

Affiliations
  • 1Pediatic Surgery, Department of Surgery, Kangnam St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.

Abstract

Primary segmental volvulus of the small intestine is not associated with malrotation, malfixation of the midgut, nor other primary small bowel lesions such as small bowel tumors. This entity is known to be more prevalent in adult and in certain global areas associated with particular diet habits. There have been very few reports in neonates, but not in this country so far. The author reports two cases of primary segmental volvulus. Case 1 was a septic 4-day-old girl with hematochezia due to jejunal volvulus with partial necrosis and panperitonitis. Resection of the segment and Bishop-Koop enterostomy were successful. Case 2 was a 3-day-old boy, who had ileal volvulus with ultra-short length of ileal atresia, probably due to intrauterine segmental volvulus. Limited resection of the atresia and spreading of the mesenteric base were enough to recovery. The rarity of the pathognomonic findings and limitation of the diagnostic workup due to rapid prqgression limit early diagnosis and good survival rate in this particular condition.

Keyword

Volvulus; Small intestine; Primary; Segmental; Neonates

MeSH Terms

Adult
Early Diagnosis
Enterostomy
Female
Food Habits
Gastrointestinal Hemorrhage
Humans
Infant, Newborn
Intestinal Volvulus*
Intestine, Small
Male
Necrosis
Survival Rate
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